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0 0 <br />POLICY NUMBER: RIC0012016 COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED - <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons Or Organization(s) <br />City of Santa Ana Community Dev. Agency (M -25) <br />its officers, employees, agents, volunteers and representatives <br />Attn: Frank Hernandez <br />20 Civic Center Plaza, M -25 <br />Santa Ana, CA 92701 <br />Re: Contract #A- 2010 - 061 -002; A- 2009 -133; A- 2009 -133A <br />City of Garden Grove <br />Community Development Dept <br />Attn: Allison Mills <br />11222 Acacia Parkway <br />Garden Grove, CA 92842 <br />County of Orange Social Svcs. Agency, Contract Services <br />its elected & appointed officials, officers, employees, agents & volunteers <br />Attn: Stacy Dyer <br />888 N. Main Street <br />Santa Ana, CA 92701 <br />Re: Contract #Westminster FRC, Oakview FRC, Magnolia Park FRC. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to in- <br />clude as an additional insured the person(s) or or- <br />ganization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury", "property dam- <br />age" or "personal and advertising injury" caused, in <br />whole or in part, by your acts or omissions or the acts <br />or omissions of those acting on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or <br />rented to you. <br />CG 20 26 07 04 © ISO Properties, Inc., 2004 <br />AppR ©N1 <br />S� ORGK <br />LISA �' Attorney <br />Assistant CA <br />Page 1 of 1 ❑ <br />